| NPI | 1851560122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL os10036) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M9805) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2009-02-02 |